STACEY LEWIS

POCATELLO, ID
NPI1952819237
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: ID  1527)
Enumeration Date2018-01-19
Last Update Date2018-01-19
Business Address
STACEY LEWIS COTA/L
1009 W QUINN RD
POCATELLO, ID 83202-2425
Phone number: 208-427-4155
Mailing Address
STACEY LEWIS COTA/L
42 HILLCREST DR
POCATELLO, ID 83204-4729
Phone number: 208-427-4155
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